Unfulfilled desire to have children: Understanding the causes in men and women

Are you hoping to have a child, but despite months or even years of trying, it just isn’t working out? You’re not alone. Up to one-third of all couples face the issue of infertility at some point in their lives. In our society, fertility is often taken for granted—but it isn’t always guaranteed.

The good news: Many causes of reduced fertility can now be treated effectively.

Male Infertility

When the biological conditions necessary for conception are not fully met, doctors refer to this as male infertility. True, complete infertility is rare, however, and occurs only in cases of severe disorders of the testicles or epididymis.

Most affected men experience what is known as subfertility—impaired but not completely lost fertility. Possible causes include:

• Impaired sperm quality: Too few, too slow, or abnormally shaped sperm cells
• Hormonal imbalances: An imbalance can impair sperm production
• Varicocele: Varicose veins in the testicles can raise testicular temperature and disrupt sperm maturation
• Previous medical conditions: Testicular inflammation, surgeries, or undescended testicles in childhood
• Lifestyle factors: Smoking, alcohol, obesity, and stress

Many of these causes can be specifically treated following a thorough evaluation.

Infertility in Women

Various factors can also make conception difficult for women:

• Disorders of egg maturation: When the ovaries or the hormones that regulate them are not functioning optimally
• Absent ovulation: Without ovulation, fertilization is not possible
• Luteal phase deficiency: Insufficient hormone production can prevent the egg from implanting
• Hormonal imbalances: Thyroid disorders or PCOS

Interestingly, some women become pregnant precisely when they let go of the pressure and have come to terms with the situation. Stress and psychological strain have been shown to affect fertility.

The First Step: Evaluation

When trying to conceive is unsuccessful, it makes sense to evaluate both partners. For men, the diagnostic process typically begins with a semen analysis and a physical examination. During a detailed consultation, your individual situation will be analyzed, and the best course of treatment will be determined together.

You Are Not Alone

The most important step has already been taken by seeking information and professional help. With the right diagnosis and a personalized treatment plan, the chances of fulfilling your desire to have a child are good.